On May 28, 2025, the Centers for Medicare & Medicaid Services (CMS) released a trove of data documenting outcomes of Independent Dispute Resolutions (IDRs) for out-of-network (OON) claims that fall under the federal No Surprises Act (NSA) through December 2024. The data shows substantial growth in case volume and provider reimbursements made through the IDR process.  

We identify national trends and outline five steps payers should take to effectively respond to rising case volumes and financial pressures.

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